Basic Information
Provider Information
NPI: 1710299185
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHERMAN
FirstName: CATHERINE
MiddleName: CASTRO
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 400 N PEPPER AVE
Address2:  
City: COLTON
State: CA
PostalCode: 923241801
CountryCode: US
TelephoneNumber: 9095801000
FaxNumber:  
Practice Location
Address1: 400 N PEPPER AVE
Address2:  
City: COLTON
State: CA
PostalCode: 923241801
CountryCode: US
TelephoneNumber: 9095801000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/13/2010
LastUpdateDate: 07/13/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X20A10939CAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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